Training and Certification
Know Health Risks
Your Contact Information (phone and/or email):
Enter your preferred contact information for follow-up questioning.
Enter date when work was being performed.
Enter address and location of facility where work is being done.
Enter the name of the company performing work (if known).
Check all that apply:
Not controlling dust and debris
Enter as much specific details on how the the work is being done and any
* Indicates mandatory fields.
To include photos, attach and send a separate email to DHSLeadSafe@wisconsin.gov
with the photos. In the Subject line type the address of the property.
Last Revised: December 03, 2010
Protecting and promoting the health and safety of the
people of Wisconsin
The Official Internet site of the Wisconsin Department
of Health Services